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Town Water Tie In 2006
Field Inspection Notice Town of Montville Building Department January 27, 2006 Address: 43 PODURGIEL DRIVE Job Description: WATER SERVICE Permit Number(s): Permit Date: INSPECTION Not Approved Approval Date: Deficiencies Special Conditions Date Water Service . I"plastic coated 12/30/05 DJ • copper Shut valves • 12/30/05 DJ Bonding 12/30/05 DJ • Bonding jumper required at meter • System is bonded 01/11/06 DJ Backflow prevention • 12/30/05 DJ Pressure • • Pressure set at 46 PSI reducing valve • 12/30/05 DJ Thermal • • Not required expansion • valve Certificate of approval • 1/11/06 DJ 34 }• r�. Rev.Date:10/18/05 Page 1 of 1 ` TOWN OF MONTVILLE Building Department 310 NORWICH-NEW LONDON TURNPIKE UNCASVILLE, CT 06382-2599 TEL. (860) 848-3030 X382 FAX. (860) 848-7231 PLUMBING PERMIT Permit Number: P2005-0134 Date: 05-Jan-06 Map/Lot: 103/018-000 Owner ID: 5566000 Project Location: 43 PODURGIEL LANE Unit: Job Description: waster meter,backflow and tie to existing house supply Owner Name: Joseph F Jr and Noreen R Ladyga Tenant Name: N/A Careof: 43 Podurgiel Lane Uncasville CT 06382- Telephone: Contractor Name: Oceanside Plumbing&Heating Telephone: (401)377-8712 DBA: Lic/Reg Type: P1 Lic/Reg No: 279721 181 Church Street Exp Date: 31-Oct-06 Bradford RI 02808- Construction Value Permit Fees Construction Information Building Value: $0.00 Building Fee: $0.00 Use Group: R-4 Plumbing Value: $400.00 Plumbing Fee: $8.00 Code: 1999 State Building Code Mechanical Value: $0.00 Mechanical Fee: $0.00 w/2004 Amendment Electrical Value: $0.00 Electrical Fee: $0.00 Construction Type: 5B Total Value: $400.00 Penalty Fee: $0.00 Permit Code: R5 C of 0 Fee: $0.00 Comments: Plan Review Fee: $0.00 State Ed Fee: $0.06 Total Fee: $8.06 It shall be the owners repsonsibility to schedule the following inspections a minimum of 2 business days in advance: Field set of approved construction documents shall be available onsite during all inspections. BUILDING PERMIT INSPECTIONS PLUMBING, MECHANICAL, ELECTRICAL PERMIT INSPECTIONS ❑ Footing- Prior to pouring concrete [] R Plumbing and leak test ❑ Deck Piers ❑ R Electrical ❑ Backfill-Footing drains and waterproofing ❑ Elec Trench-with conduit installed ❑ Concrete Slab-Prior to pouring concrete ❑ Pool Bonding ❑ Anchor Bolts-with sill plate and prior to floor framing ❑ Electrical Service CRS No: 0 ❑ Framing ❑ R HVAC ❑ Masonry Fireplace Throat or Chimney Thimble ❑ Gas Piping and leak test ❑ Fireblocking Draftstopping INSPECTION REQUIRED UPON COMPLETION ❑ Insulation ❑ Certificate of Approval ❑ - + • c ancy Building Official's Approval: /� Town of Montville Building Department • 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax. 860-848-7231 RESIDENTIAL PERMIT APPLICATION FORM Permit No.: l( z/ Type of Work Occupancy Type Permit Type ❑New Construction ['Single Family 0 Building El Addition Two-Family Plumbing Alteration 0 Townhouse Mechanical 0 Accessory Structure 0 Electrical CRS#: Job Address: a PO Pa,G�e—L 4e (Number) (S reet) (Unit) Job Description: 4477.-- A co-,' t$- cy :>k-- / • 7A; f Owner: Y"*. 6_.5c._pi, /- ,„6-„ ,....,-,-,,, /1-- Gz--4-0- Q y7 Address: y3 Po p('I‘-(rC 1.--iq"C City: ti ki C14 ‘") II.---t lit• State: V1 Zip Code: C2r,v,_3 Telephone: Contractor: Oeetti-2 5, Oc 1ers 74 fir DBA:• // Address: h c.NLS 4, City: ,`#46 F)rO State: Zip Code: Oo2fo F Telephone: (TIC?'" P)7 F7/4 License Type: / License No.: 79 2,2 ( Expiration Date:/Q/�—Q,4' I hereby certify that the proposed work will conform to the State Building Code and all other codes as adopted by the State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee and that I am authorized to make application for a permit for such work as described above. ❑ By checking this box, I will follow the requirements of the 2005 NEC as the alternative compliance per section E3301.2.1 of the Residential Code, instead of the electrical requirements in chapters 33 thro 2 of the Residential Code. Owner/Agent Signature: ...XA.--"/' Date: /0/—)) p S Construction Value Permit Fees Building Value: Building Fee: Plumbing Value: 7 Cs Gr--- • Plumbing Fee: T— Mechanical Value: • Mechanical Fee: Electrical Value: Electrical Fee: Total Value: Penalty Fee: • • ' C of O Fee: • • Plan Review Fee: State Ed Fee: o, pG Total Fee: 0 4 &vised'Decemfer31,2005 Town of Montville Building Department File Receipt Date: 23-Dec-05 Receipt No: 940 Received From: Oceanside Plumbing&Heating Job Address: Podurgiel Lane Fees Collected State Educational Training Fee Cash: $0.00 Cash: $0.00 Check: $145.08 Check: $1.08 Check No: 5225 Construction Value: $7,200.00 Demolition .u-• _ $0.00 /77,/ V Received By Joseph Summers ' • Town of Montville Building Department 310 Norwich-New London Tpke. Tel. 860-848-3030, Ext 382 Uncasville, CT 06382 Fax 860-848-7231 • CONSTRUCTION PERMIT APPROVAL • 4/3 7c , Property Address L✓NA-- 1%.1A161-4_1-1 o 0 Job Description The applicant is responsible for obtaining all of the required approvals checked off on this form. No buildin permit will be issued until all of the required signatures have been obtained. • 9 Required Approval Department Permit Issuance Approval 111 Tax CollectorkAL. Comments: v Signature/ date WPCA, Administrative `>` - 16. s Comments: Sig re/ date ❑ WPCA, Operations • Comments: Signature/date • • ❑ Planning &Zoning • Comments: Signature/ date L1 Health Department Comments: Signature/date ❑ Department of Public Works Comments: Signature/ date ❑ • State Dept. of Transportation • • • Comments: Signature/date ❑ • Fire Marshal • • Comments: Signature/date . RcvzseiAugust 5,2005 CERTIFICATE OF 1A13ILITy INSu PRooec R ■♦/'1NCE CSR LS' OATE(MIHrDOPYYy1,l OCEA/SL 14 121 /05 Woodmaneee THIS CEFI:'INCITEIS ISSUED AS A�+IAT7SR OF 1NFOR11d 4TlON fur.aua® Inc. ONLY AMi]CONFERS NO RIGHTS U F'. 0. Sox 24 6 THE CERTIFICATE HOLDER T'HI£�CERTIFICATE DOES NO AMEND,EXTEND OR I�yoadiag R-Z 025.9 '-0245 ALTER T•' Iz COVERAGE AFFORDED BY THE PC' PhOne: 401-539-7000 Pax:401-539--7265 EtC:lESg6(.oW. INsuR p - —T--�— INSURERS 11FFoRDING COVERAGE otim eRA: Peer_ Insurance 1.4,10:------ -_—___________. A # Steven A ��oi.B, InC;, INSURER It oL'edA �dl! C1ti136�lIIST gpdt gr=Bl; IN8UR8R C; PSa B1acoa tlukar�i EaaurEI E. Co 181 C�iu.PA Streel: n=asre, iv, 7aawraaee ew,a.ay Bradford RI 02808 INSURER D; COtERAGES INSURES B; TME4OLiCl£$ BIBURRty,E 1, I ANY O REQUIREMENT, tGTEDSZLOW HmE BEEN ISSUED 70 THE 1 'URED NAMEp 4 EMENT,YERM,7R:ONDITION OF ANY CONTRACT AES E T TO TH£P::LILY i?CERTI OR EYP1D?TAIN,ihEINS[IRAI�F AfFORDEp BY DR OTHER OQCtIMC:NT WITH RESPECT WHP t ICYTHIINDICATED.NCTWtTHgTANDING POLIGE3.AW MErNs LIMITS-SHOWN MA THE POLICIES DESCRIBED yEREIN iSaUaJE CE$ON&AT�,r�,qY 6 CONDITIONS S Y HAVE BEEN REDUCED BY PAtIJ LAIMS. TO ALL THE TES J,Iii.ETCLUy14NS AND CONDITpNS CSF N--' TYPE OFINS.URANCE - POLICY NIR IIeER GY �L I'P'OT GENERA!.LIABIiI'Y -- Dare aurrD o�y,-- F �_—�"--- Li.drrs X COMMERCIAL GENERAL LIABILITY CC9 971456 EACHOCCURREN4E 04/90x05 04/30/06 PREMISES IurctwiFZ)" 1 040 000 cF atas(AMIE )X occur feralSEs tEe ,cnce s 50 D 000 • — _---_,•._.,f MED F'xa(Anro�o Person) S 10 000 ANAL s aR` v tntJ-- s 1,000,000 GEN'LAGGREGAYI_'LII4IFTA—.PP R. GFJVERALAG GAS X POLICY P' s 2 000,000 �rcr LOC EACH RPIOP AG 3 3 2 000,000 AllTOM081LE UM kill' • _ ANY AUTO I , CO► i7NfrD SIN13Lr LIMIT ALLDYJNEDAJTt)S' I BO(Eaaatdern] 1 L 1,000,000 SCHEDULED P —�__ '3S 08745219-0 r eYINJURY 1111 MIRED AUTOS 04/30/05 0$/30/06 l;�eRrson) $ IIII LION gVV1�O itUTOS oolLy i Cn1 Y S GARAGE LIABILITY-- 1 ( acdesr1OAMAGEi $ ANY AUTO AUTO ONLY•EA AG:N7ENT •' OTHER THAN Lr S cESS RELL4 Ltai4(CIrY ""�^- AUTO ONLY: AGC. $ occue. _�I CLAIMS WOE C'_4 9711358 EACH OCCURRENCE 04/3U/0S 04/30/06 AGGREGATE $2,000 000 • DEDUCTIBLE - s2,oD0,000 RETENTION S I WORKERS COMRENSATICN MO B EMPLOYER LIAEILRY $ ANY PROPRIETpR/PARTNIZR,9:XECUTIVE + 0000023736 12/01/05 I TORY LIMfTS :ll• ER n«icFucerSefSER E�.�LL;')E[,7 12/01/0 5 1:V01/06 E.L.EACH ACCi0Errr ►tyy8e��rle9b_R urxtrt j -. s500 000 OTHEALPt*C:; lttraStsam i .-____EASE-EAEMPLOYEI: _ 500 000 OTHER E.4,DISEASE-FOLICY LIMIT $5500,000 1 I 78SCRIpT1pN OF OPERATIONS '` 7� r fl�'+° /VEHICLES/F.CLUSFONS ADDEC I ,�. ice" Plumbing ReatiacT - Certificate, Aoldax ioRStxaEdNrtsPECALE+Rot'i.IRNs Projeut:MontviYle C[Ilttntons es an Alc9,itip>y41 'Insured - are: ctIM d villFamily, r Tlncastriller T - Further Aaa t•Lon.3.Z Inured ;4• t LLC - The Home Depc - Stop & Shop Supermarket co. .ERTIFICATE HOLDER 1 - — ���,__ CANCELLATIC:.hI Nit t8ny Construction. 'Cxic, NZ/TANI SHOULDANY OF I ME AHOWE DESCRJ p POLICIES BE R i an4P # DATE THEREOF,'! RANG: A CANCELLED BEFORE THE WRITTEN Fax 5011-285-1998arah Dickie gels:iUINGINSURERWILLENDEAVORTCgAIL 30 NOTICE TO THE C i ICFIFiCATE DAYS WRITTEN 6.1 East D HOLDER NAMED TO t} LEFT BUT F.ULURE TO DO SO SHALL /gain 5 r• 5111 t4 #Q 7 fMROSE NO 06LI( i710/ OR LIABILITY OF ANY KIND UPON THE INSI IRER,ITS AGENTS OR Norton, Bill. 0216'6 415P n4Y:'. 'io E CORb 5(T447/U8) _- r ,Pe Al-,,,C ..�E.:4,17,-... 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